Grove Harbor Medical Center Pharmacy

LBN: Socal Pharmacy Llc
Grove Harbor Medical Center Pharmacy is an health care organization with primary practice located at 12555 Garden Grove Blvd Ste 102 , Garden Grove CA 92843-1903. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Socal Pharmacy Llc can be contacted via phone (714) 636-0593, or through Tavakkoli Isfahani, Seid Amir Farzan via phone (256) 797-2552.

Contact Information

Primary practice address
12555 Garden Grove Blvd Ste 102 Garden Grove CA 92843-1903
Phone: (714) 636-0593
Fax: (714) 636-7708
Website:
Map and Directions
Authorized official contact:
Name: Tavakkoli Isfahani, Seid Amir Farzan PHARMD
Phone: (256) 797-2552

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1033744230
LBN Legal business name Socal Pharmacy Llc
DBA Doing business as Grove Harbor Medical Center Pharmacy
Authorized official Tavakkoli Isfahani, Seid Amir Farzan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2020
Last updated Dec 8th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033744230 NPPES
California MEDICAID 1649713777

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